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Home My WebLink About92-2133 BUILDING PERMIT CITY OF ZEPHYRHILLS (813) 788-6611 Permit N<! 2133 /3 Date J- - / 7 -7~ C:':OI;) E~L p~ M~AL Sewe' Cone II /J ~ / ~ /J \,ater Conn: P,ope,tv Owne' ~:... f'!&!ifJ!U ~ ~ { ~~ate' Mete, Job Address: &-lJ 0 _ - ~ _~~. ____ T I.F.'s: 13&. bY par~eII.D.# //-;_CJ-6-al O;(J~.~~-JCJx--~{)n -- D~t)'O, Zomng. . _ En:~y~e. ___ Radon Ga" :~ ~~ -g:: Oe,cnptoono'Wo<k tF_h, ' h-----:t ~>---- FINAL z ~7-4"" 2-- NO OCCUPANCY BEFORE C.O. DATE Complete Plans. Specifications and Fee Must Accompany Application. All work shall be performed in accordance with City Codes and Ordinances. c.o. DATE Inspector Permit Fee /Jl...s_,~~ _?.J ()~ ... Signature ~ -;c~---4!' /' - Company Address Telephone# Valuation or LI Contract Price ~ t:J'77;J . (/7) City License Registration # 6 S- State Certified License# ~"" _~:ti (~..f. /;{e dJ)'ttf /~ ~IL~ ELEe'mlCA~ PlbM.BING ~ M~ICAL .............. Breakers Ducts Insl. Compressor Final Ftr. Tp. Servo SLB Pre SLB Rough In Tub Set Lintel Meter Can Water FRM. Canst, Pole Sewer Insul. CL Pool Final WL Pre-Meter Final Driveway REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a charge of Fifteen and 00/100 Dollars ($15,00) shall be made for each trip for each trade: a. Wrong Address b. Condemned work resulting from faulty construction, c, Repairs or corrections not made when inspection called, d. Work not ready for inspection when called. e. Permit not posted on job site, f. Plans not at job site, g, Work not accessible, The payment of inspection fees shall be made before any further permits will be issued to the person owning same. . . _.' '-'".'C. ....~^,.'.. _.,.... .,.'_' .'0 " .".....;..~l,:.':'.\.',..~'t.::~~.... 'c'~' ,-;;.. \ ,/ 1::"/ I ?,I "'-...., ~ ... .~______._____H__ t=.:J- --- :dV.I-/F <V~ , .:S 1\ ..... ,'. I I ' / ;.....i-- 7- I " I , Ie j. f , I , 'I ,- \. -/"j (-- -----..~ I / PO" ! ',..- (.. C' Y'-1. "]:.;J '" <.,:' r c1;, . I i I I ) ......--.~ -~--". ,--,'-'--" ---_._-~--,. . ~"._-",...-,. ~. d~ /. fi-- ~. .~~~_C! f5 ~- ~~~ ; / I ~} ., J 1 \ i I I .' i ! I { ! f I ',: I ~ ~ ,-I ( / .:! r i ,,-' c'JC 'I Iii ) , I ( : I j L i J I I ,---. ,(.. . V .."\ ,.~,~ ... . \,- l..-. : { I 'j '\ Y 1-/ ,~!'- ,..,...:...; --~ /' ".' --- ~ /', / r-' I ..... ... If' "..-, .., t, b.. .. u..) ~ "f ~/ , -:-- -iE d /1 7'~ 0,." - J../ I rJ f C- ( ~ .......".......~~,~.....-.........-_"\1....""'''''''''...".,...._,~..._,...,I.",..,:~..~~, .,0..,...........,. .,.... ,....""',.~'),"".....,...~._,,,.,.,. r / .' r-" "~_""',"'r~l'-~:f'~_';'~'~~' ~,~.J- O' ~~ .........._~._....._.~__~ .____.---.,M ,-) - (,-' .,' : ( ) ., --~ ..,...,.----..--,- ..--.-~___~.~....~..-,.~..';... ..,.",..,..-~",~c'_"~""";l....r;.~~...~ ~ ~ / Proposal Proposal No. FROM ~ t...I'-r L. ~ /A.A- - . r t.- C ~ ru C' .,< Sheet No. l 7.1 .1 ~ i2, L&, r h a-/ ~ j) f?, c -- Date ~ -/S--~L :z -e r h. y /l. L _= / h--- / F /... ,xlr"r I Proposal Submitted To Wor,k.To Be Performed At Name p! v>d 'f- l---t .'c ~ e I/e t--v1 ~ /Z" f-r ~ Street r-i!J ~ )1- ~~(/ c-/u / Street City 'z.~t.. ../7r Stater / .. City Date of Plans State Architect Telephone Numbl;r We hereby propose to furnish all the materials and perform all the labor necessary for the completion of ~ :% ~ a " >>a '}. ~ d c:1 ~ '" ...' . · . / LV d cJ ~ /I" ~ to _~ ~ //s , C ~ <J t9/;l... / c.....J r 'f- t.. , T H ~ <./.... ~ ~ .A-- ( 'A. ( . . All material is guaranteed to be as specified, and the ,above work to be performed in accordance with the drawings and specifications submitted for above work and completed in a substantial . workmanlike manner for the 'sum of Dollars ($ 1,7t!JtCJ c? C? ). with payments to be made as fOIlOWSh r'e... LJ t.. ~,..r C tI r.-c. ~ 4 c Any alteration or deviation from above specifications invoiving. extra costs, will be executed only upon written orders; and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our ,control, Owner to carry fire, tornado and other necessary insurance upon above work. Workmen's Compensation and Public Liability Insurance on above work to be taken out'by - R.."ecffully subm;t;.d tf' ~ ~ ~- .~'''' Per '.'~ .> Note _ This proposal may bp withdrawn by us if n-ot accepted within days - " ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified, Payment will be ~ade as outlined above. Accepted . s,gna,u..j o.lrt~l j~ 1717 ~ ---;; l-;..~;t'" Date ~',.~re ,-.' ~ : _,....."~~..,,.~~tt~,".? -.., LITHO IN U. .. A, TOPS FORM 34150 . V ." APPLICATION FuR PERMIT CITY OF ZEPHYRHILLS BUILDING DEPARTMENT R f P{-'IC f (1 P E' rf' l.--'-f ,'I- ~ d c.> /-/~ IS Il" l-pq IT ADDRESS /)~ v . - rI -r / '73 / / ~ e p ~ ,.r J/V1, 'c d ~ / ~ f/l/l 4 l~ ~.'''' r_\, C~ v It II W l" ~/~ y" (T '~P&~ONE , / / '7?:r-07?~ APPLICANT OWNER .C::::: rt V<--t- E___ JOB LOCATION )d () 7 G ~ / / ft I U c/ LOT SIZE_X LEGAL DESCRIPTION: LOT (s) in -I- (, 17 BLOCK d 6' ? SUBDIVIS ION PARCEL I.D.~~ d/-~~~d/ (!)~/t!J~;>CJe -&06 f7 AREA SQ. FT. WORK PROPOSED:____New Construction ----Addition ____Alteration ____Repair ____Install ____Sign/Temp. ____Sign _Move ____Demolish PROPOSED USE: ____Single Family ____M/F -:--4~ of Units _____M I H ____commercial ____Indust. ____Swim. Pool S-/a b /~;1J.CJ Other ____Restaurant & Health Department Approval BUILDING SIZE: x - , Square Fee t, Height, RESIDENTIAL: COMMERCIAL : ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COpy OF CONTRACT REQUIRED. PERMITS REOUESTED ____BUILDING $ o {) / S-~S-t9 - Valuation of Total Construction ____ELECTRICAL AMP Service Florida Power Corp. _H.R.E.C. ____MECHANICAL $ Valuation of Mechanical Installation ____PLUMBING GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** _ CONTRACTOR SECT~ V (J Ie ~/ S lA--t : -/ It {'.9",'.r;l; Company a ;; ,,/ L _ :;:--~...., ~ ~ 4. ('6' r<- r r ....( ~_ --;;:(" ~ ~ State Cert. or Regist. 4~ R ~ j 7s ~ / '- 1. City License Registration l~ ~ .sr- ****************************************** Sirmature Company State Cert. or Regist. # City License Registration # ****************************************** ET.ECTRTCTAN Signature Company State Cert. or Regist, # City License Registration # ****************************************** PLlJMRFR f, MECHANICAL Signature \,,;ompany State Cert. or Regist. # City License Registration # ****************************************** OTHER Company State Cert. or Regist. # City License Registrati'on IF Signature APPLICATION APPROVED BY ~. **********~************************ b4' O^~ PERMIT OFFICER. CONDITIONS OF PERMIT AFFIDAVIT A_ NOTICE OF DEED RESTRICTIONS ' The undersigned understands that this perlit 'lay be 'subject to .deed restrictions' which lay be lore restrrctive than City regulations. The undersigned assuaes responsibility for'colpliance Mith any applicable deed restrictions. - , B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractor. to undertake MOrk, they aay be required to be licensed in accordance Mith state and local regulations. If the contractor ili~lIoLlitensed as required by laM, both the OMner and contractor.uy' be cited for a aisdeleanor violation under state laM.~ If'the oMner Dr intended contractor are uncertain as to what licensing requireaents aay apply for the intended Mork, they' are advised to contact the City' ofZephyrhills Building Departlent, (BI3) 788-6611. Furtheraore, if the OMner has hired a contractor or contractors, he is advised to have thecontractor(s) sign portions of the 'Contractor Sections. of this application for .hich they .ill be responsible. If you, as the owner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the ,work. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to perlitting privileges in the City of ZephyrhilIs. C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECT ON FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided Mith a copy of .Florida's Construction Lien LaM - HOleowner's Protection Guide. prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is SOleone other than the .0Mner", 1 certify that 1 have obtained a copy of the above described docuaent and prolise in good faith to deliver it to the .o.ner. prior to cOllencetent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT 1 certify that all the infortation in this application is accurate and that all work will be done in cOlpliance with all applicable laws regulating construction, zoning, and land deveIopaent. Application is hereby lade to obtain a perlit to do Mork and installation as indicated. I certify that no Mork or installation has cOllenced prior to issuance of a perlit and that all Mork Mill be perforled to leet standards of all laws regulating construction, City codes, zoning regulations, and land developaent regulations in the jurisdiction. I also certify that I understand that the regulations of other governaental agencies lay apply to the intended work, and that it is ay responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not lilited to: I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands, Water/WasteMater Treatlent I Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses f ArlY Corps of EnQineers - SeaMalls, Docks, Navigable Waterways f Depart.ent of Health ~ Rehabilitative Services. Environ.ental Health Unit - Wells, Wastewater Treat.ent, Septic Tanks I US Environaental Protection AQency - Asbestos abatelent I also certify that, if fill laterial is to be used in Flood Zone "A. or "A,etc.', it is understood that a drainage plan addressing a "colpensating voluae. Mill be sublitted Mhich is prepared by a professional engineer registered in the State of Florida prior to perlit issuance. A pertit issued shall be construed to be a license to proceed Mith the Mork and not as authority to violate, cancel alter, or set aside any provisions of the technical codes, nor shall issuance of a perait prevent the Building Official frol thereafter requiring a correction of errors in plans, construction, or violations of -any code. Every pertit issued shall becole invalid unless the Mork authorized by such perlit is cotlenced Mithin six .onths of issuance, or if work authorized by the perlit is suspended or abandoned fot a period of six tonths after the tile the Mork is cOllenced. One qQ day extension of tile, lay be allowed for the perlit with fee charge of $15,00. The extension shall be requested in writing to the Building Official. An approved inspection lust be logged during each six lonth period, or the project will be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMKENCEMENT KAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND, TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD AND POST A .NOTICE OF COMMENCEMENT.. SIGNATURE: OWNER OR AGENT ~ STATE OF FLORIDA COUNTY OF The foregoing instrument befcre me this was acknowledged , 19_ by STATE OF FLORIDA H COUNTY OF ~ The foregoing instrume~t . befor me his ~ who is personally known to me or who has produced as identification and who did/did not take an oath. - was ackno\f/ledged , 19:12=- by , (Signature) 01- stamped) (Name Typed, Printed or Stamped) NOTARY PUBLIC , . .....'